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RE: Post RP - PSA Rising

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Thanks for the quick reply, Chuck. You answered a couple of my questions right

off the bat:

Can anything else cause the rising PSA? Which you said a urinary infection

could do.. And, what they do next? Which you also answered.

Do they (the docs) have the ability to " take pictures " of what's " growning on "

down there, or is it just " cause and effect " testing of various levels of juices

running in my veins???

Again, I apologize for not being more " cerebral " about my participation in the

Group. It's just that I " was " soooo depressed my first couple years after RP

that I had to " drop out " of all the " doom and gloom " reading - and, then

periodically touch base with the " long timers " like Steve Jordan and Alan Meyers

- to see if I'm still alive. LOL

Thanks for your help,

>

> I couldn't figure out how to find " my " past posts, sooo being just a " little "

bit worried with my last rise, I'll just barge in and ask for your opinions -

again. Sorry if I'm being redundant and totally apologize for not being bright

enough to " hang " with you guys in all these technical details. But, I'm damned

glad you're here!

>

> Should I be asking my Uro to introduce me to his favorite Onc? (And, finding

second sources, myself.)

>

> Profile:

>

> Age: 70 (this 10/11)

> 10/04: PSA = 10.4,12 needle biopsy - Gleason 7 ( " in a few samples " ), T1C

> 11/04: RP " looks like we got it " - sparing one and a half bundles of nerves

> 08/08: PSA = less than 0.1 every year since RP

>

> 05/09: PSA 0.19 (next test late 09/09 – a little worried)

> 10/09: PSA 0.19 (Uro says " don't worry. " )

> 03/10: PSA 0.26 (ARG!)

> 05/10: PSA 0.22 (Wha?)

> 12/10: PSA 0.27 (on 3 mo testing)

> 03/11: PSA 0.26

> 06/11: PSA 0.32

> 06/11: Good bladder control – STILL no usable erections w/o " injections " –

using " tri-mix " w/ 31 ga. needles

>

> BTW - what is the " next step " for us guys that have reoccurring PSA after RP?

>

>

>

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Thanks, guys, for all the support and suggestions:

1) I have already placed a call to my Uro (his nurse, actually, I never get to

talk to him other than at an appointment) to hook me up with an Onc. Do I trust

him(?) He's the one that said " looks like we got it " with some mumbling about

" what " he checked to give me that report. (I WILL ask that nurse to give me

that information about what he actually checked - visually and actual testing.)

I'll give them a few more days to get back to me, then I will call the OSU

Cancer Center (which is right down the street from me here in Columbus) that was

recommended on that .gov list Alan mentioned. I, too, have a natural sense that

" it's there " - and, it's time to tb w/ an Onc VERY experienced in PC

re-occurrence.

(You know - it's now when I, again, wonder just how many of the 200+ RPs and now

robotic Ps per year my Uro has done before and since me that have had

re-occurrence???? I doubt if my docs office would give me that info - but, if

there is a bunch of them (as I strongly suspect there are) they would be a

valuable resource to check with. Are there any publicly available reports on

that type of data???)

2) I will ask my internist if he would recommend me taking an antibiotic

between now and my next blood test. At which time I'll ask them to include that

PAP test, too.

3) Depression! Was there ever - boy, was it tough. However, Alan, I spent 2

years after my RP going through this same " take charge of your medical

situation " bs with my debilitating lower back pain. Took me a year of " doctor

manipulation " , but I convinced them (though many testing procedures) that a

simple laminectomy on L1.2.3 would work - WHICH IT DID! That allowed me to get

outta that damned easy chair and back into life. I've been on a tennis court or

golf course (walk 18) at least once to three times a week every since. I travel

- I got divorced from a witch - I found a wonderful galfreind (which gave me a

reason to " step up " to " needles " (ouch!) who loves to travel with me (and,

doesn't mind that I won't chase her balls for her, er play tennis with her

(lol).... I'm heavily involved with music and volunteering. However, I'll

admit from time to time it seems like it wouldn't take much to put me right back

in that damned chair - if I let it. I WON'T.

Thanks, again, for being here guys,

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Thanks, guys, for all the support and suggestions:

1) I have already placed a call to my Uro (his nurse, actually, I never get to

talk to him other than at an appointment) to hook me up with an Onc. Do I trust

him(?) He's the one that said " looks like we got it " with some mumbling about

" what " he checked to give me that report. (I WILL ask that nurse to give me

that information about what he actually checked - visually and actual testing.)

I'll give them a few more days to get back to me, then I will call the OSU

Cancer Center (which is right down the street from me here in Columbus) that was

recommended on that .gov list Alan mentioned. I, too, have a natural sense that

" it's there " - and, it's time to tb w/ an Onc VERY experienced in PC

re-occurrence.

(You know - it's now when I, again, wonder just how many of the 200+ RPs and now

robotic Ps per year my Uro has done before and since me that have had

re-occurrence???? I doubt if my docs office would give me that info - but, if

there is a bunch of them (as I strongly suspect there are) they would be a

valuable resource to check with. Are there any publicly available reports on

that type of data???)

2) I will ask my internist if he would recommend me taking an antibiotic

between now and my next blood test. At which time I'll ask them to include that

PAP test, too.

3) Depression! Was there ever - boy, was it tough. However, Alan, I spent 2

years after my RP going through this same " take charge of your medical

situation " bs with my debilitating lower back pain. Took me a year of " doctor

manipulation " , but I convinced them (though many testing procedures) that a

simple laminectomy on L1.2.3 would work - WHICH IT DID! That allowed me to get

outta that damned easy chair and back into life. I've been on a tennis court or

golf course (walk 18) at least once to three times a week every since. I travel

- I got divorced from a witch - I found a wonderful galfreind (which gave me a

reason to " step up " to " needles " (ouch!) who loves to travel with me (and,

doesn't mind that I won't chase her balls for her, er play tennis with her

(lol).... I'm heavily involved with music and volunteering. However, I'll

admit from time to time it seems like it wouldn't take much to put me right back

in that damned chair - if I let it. I WON'T.

Thanks, again, for being here guys,

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